Organization · Type 2 NPI

Dental Group of Ellisville, PLLC

General Practice Dentistry · Ellisville, MS

NPI number 1972851814 Active

Practice location

97 Hal Crocker Road
Ellisville, MS 39437

Fax (601) 477-3770

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2940-96 (MS)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1972851814

Dental Group of Ellisville, PLLC's National Provider Identifier is 1972851814, issued on Aug 27, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ellisville, MS. The record was last updated on Mar 18, 2019.